Call to Advocacy: Expanding Graduate Students\u27 Leader-Advocate Identities

This poster session informs attendees about findings, perspectives, and recommendations from a qualitative study exploring students\u27 leader-advocate identity formation during an online doctoral course. Connections are made between the stages of leadership identity development and features of development that enhance successes of leaders and advocates as identified by previous researchers. One question guided the study: how do early childhood educators develop or evidence leader-advocate identities. The data sources included 34 final reflection papers and six semistructured interviews with students who took the course 18-24 months prior to the interviews. Participants indicated the course and related doctoral program made them consider the importance of collaboration to leadership and advocacy. Interviews indicated that participants continued to enhance their leader-advocate skills after the course experiences. All incorporated advocacy into their dissertation work. Recommended Citation Trube, M. B., & Dawson, C. M. (2020, October 1-2). Call to advocacy: Expanding graduate students\u27 leader-advocate identities [Poster presentation]. Walden University Research Conference 2020 (online). https://scholarworks.waldenu.edu/researchconference/2020/posters/51

The Perceptions and Rehabilitation Experience of Older People After Falling in the Hospital

Purpose: Falls are a major cause of disability and mortality due to injury. To reduce fall rates and improve health outcomes, it is important to design services based on patient experience and engagement. This study aimed to explore the experiences of older patients who fell during their hospital stay. Design: Five patients from two rehabilitation wards in the United Kingdom participated in this qualitative study. Methods: Semistructured interviews, incident reports, and medical records provided information about each fall. Thematic, discourse, and descriptive analysis were used to analyze data. Findings: The data demonstrated how a fall impacted patients’ experience of rehabilitation and resulted in changes to mobility, self-confidence, management of falls risk, avoidance of daily activities, and increased assistance from others. Conclusions: Falling in hospital can influence patients’ ability to reach their potential of an optimal level of functioning. Clinical Relevance: There is a need to place an equal and mutual understanding on the physical, psychological, and social impact of falling to reduce falls and improve functional outcomes

In the eye of the beholder : representations of Australian Aborigines in the published works of colonial women writers

This thesis explores aspects of identity, gender and race in the narratives of six white women who wrote about their experiences with Australian Aborigines. Five of the works relate to nineteenth-century frontier encounters, described by middle-class, genteel women who had travelled to distant locations. The sixth (colonial-born) woman wrote about life in outback Queensland in both the late nineteenth century and early twentieth century. Her perceptions and opinions act as a foil to the five other texts, written by British-born authors. My analysis of these works takes into account current colonial racial attitudes and the nineteenth-century utilitarian urge to "educate". It involves discussion of the influences during the nineteenth century of the Enlightenment idea of "man's place in nature", of evangelical Christianity and the role of underlying notions of race based on scientific theories. All these aspects inform the women's works, directly or indirectly. While reflecting ideas about Aborigines expressed in male colonial narratives, these female writers deal with their relationship with Aborigines from a woman's perspective. I have researched the women's social and economic backgrounds in order to investigate biographical factors which lay behind their racial views and perceptions. The thesis explores the influences of publishers requirements and reader expectations on the way Aborigines were represented in published works. The writer’s need to entertain her audience, as well as to "educate" them, often led her to incorporate the traits and language of popular literary trends. Two of these were English Victorian romantic fiction, and the "ripping yarn" adventure narrative, popular from the late nineteenth century. The incorporation of these literary genres often resulted in conflicting messages, and a confused and ambivalent rendition of Aborigines. Within the dynamics of the male power structure at the frontier, these selected female narratives offer another perspective on interracial relations. The six texts refer to the fractious climate of colonisation. They are told by women mostly constrained within the expectations of ladylike decorum and often strongly influenced by the abiding literary contexts of the nineteenth century. What the writings show is that as women grew to know Indigenous people as individuals, representations of Indigenous humanity, agency and authority replace racial cliches and stereotypes, and literary imperatives

Severe but reversible neuropathy and encephalopathy due to vitamin E deficiency

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Specificity and sensitivity of the social communication questionnaire lifetime screening tool for autism spectrum disorder in a UK CAMHS service

The Social Communication Questionnaire is used to identify children and young people (CYP) who may require formal ASD assessment. However, there is a paucity of research on its utility in Children and Adolescent Mental Health Services. This evaluation aimed to determine the sensitivity and specificity of the Social Communication Questionnaire (SCQ) in a UK, Midlands CAMHS service. Method: Forty young people (mean age 13.75 years) were screened using the caregiver reported SCQ before completing 'gold standard' assessment. Results: The SCQ had a sensitivity of 80% and a specificity of 25.7%. ROC curve analysis indicated low diagnostic accuracy. Differences in predictive accuracy of SCQ and diagnostic standard were statistically significant (p < 0.0001). Conclusion: This evaluation builds on previous research suggesting that the SCQ may not be an efficient screening tool in CAMHS settings

Does health and social care provision for the community dwelling older population help to reduce unplanned secondary care, support timely discharge and improve patient well-being? A mixed method meta-review of systematic reviews

Background: This study aimed to identify and examine systematic review evidence of health and social care interventions for the community-dwelling older population regarding unplanned hospital admissions, timely hospital discharge and patient well-being. Methods: A meta-review was conducted using Joanna Briggs and PRISMA guidance. A search strategy was developed: eight bibliographic medical and social science databases were searched, and references of included studies checked. Searches were restricted to OECD countries and to systematic reviews published between January 2013–March 2018. Data extraction and quality appraisal was undertaken by one reviewer with a random sample screened independently by two others. Results: Searches retrieved 21,233 records; using data mining techniques, we identified 8,720 reviews. Following title and abstract and full-paper screening, 71 systematic reviews were included: 62 quantitative, seven qualitative and two mixed methods reviews. There were 52 reviews concerned with healthcare interventions and 19 reviews concerned with social care interventions. This meta-review summarises the evidence and evidence gaps of nine broad types of health and social care interventions. It scrutinises the presence of research in combined health and social care provision, finding it lacking in both definition and detail given. This meta-review debates the overlap of some of the person-centred support provided by community health and social care provision. Research recommendations have been generated by this process for both primary and secondary research. Finally, it proposes that research recommendations can be delivered on an ongoing basis if meta-reviews are conducted as living systematic reviews. Conclusions: This meta-review provides evidence of the effect of health and social care interventions for the community-dwelling older population and identification of evidence gaps. It highlights the lack of evidence for combined health and social care interventions and for the impact of social care interventions on health care outcomes. Registration: PROSPERO ID CRD42018087534; registered on 15 March 2018

Determining appropriate interventions to mainstream nutritious orphan crops into African food systems

Nutritious ‘orphan’ crops could (re)diversify African food systems, but appropriate means to bring this about are required. A review of the literature on crop intervention options suggested success and failure factors in promotion, but indicated little about the relative importance of production-versus consumption-based measures and how these interact. An analysis of secondary crop production data indicated that addressing food policies could be valuable for orphan crop mainstreaming, but, as with literature review, did not provide clear guidance on the importance of different interventions. A survey of experts suggested that cross-disciplinary teams are important for developing mainstreaming strategies, but revealed no clear consensus on the importance of particular measures for specific orphan crops. We discuss the implications of these findings